A person is apoplexy every 15 seconds in China Because the medical idea lags behind and loses the good opportunity of recovering by mistake

A person is apoplexy every 15 seconds in China Because the medical idea lags behind and loses the good opportunity of recovering by mistake
" apoplexy " The recovery challenges of big countries Nearly there is a person in China every 15 seconds " Apoplexy " When, its become professional need challenge that face to demand that function recover straightly After engaged in the past 30 years of specialty on rehabilitation, Wang MaoBin experiences the powerful policy spring breeze. Wang MaoBin is good at by the recovery medical treatment of apoplexy of brain, brain traumatism,etc., heads the list of signers in the rehabilitation department of Xuanwu Hospital of Capital University of Medical Sciences at present - -The most forward position that can be rated as the Chinese nerve and recover here. "China is ' apoplexy ' big country, prevent and cure and face the pressure greatly. The ones that have fortunately recovered in the medical net etc. already from the medical insurance system and tertiarily in the government have connected the respect to set about actively, I do not always feel the situation as well like now. " He tells " Liaowang " Newsweek. " apoplexy " ,Namely the intersection of brain and apoplexy, it is one that organize ischemic and the intersection of damage and symptom of bleeding etc. for main acute cerebrovascular diseases of clinical manifestation with brain. " apoplexy " Roughly divided into two kinds, first bleeding apoplexy, have another name called cerebral hemorrhage or cerebral hemorrhage; Second the ischemic apoplexy, divide for infarction of brain (brain blocks up) again With cerebral embolism. The condition critical disease, with morbidity being high disabling the intersection of rate and high, the intersection of mortality and high, high characteristic of recuring etc., become one of Chinese people's main killers. The data reveal, China sends to brain apoplexy over 2 million people, about 1,500,000 people dying from apoplexy of brain newly every year, especially once the apoplexy of brain happens, even if survive, about 3/4 of the patients leave function obstacles at various degrees such as hemiplegia, aphasia,etc., threaten life quality seriously. Nearly there is a person in China every 15 seconds " Apoplexy " When, its become professional need challenge that face to demand that function recover straightly. " fatalism " Before the eighties of the 20th century, " irrecoverable " after the nervous system is damaged , the doctor of dept. of neurology is to this " Do nothing " View rule academia. "In order to break this kind of fatalism, the foreign scholar has carried on a large amount of research. " Wang MaoBin says, medical science of recovery therapy at that time, it was a kind of experience medical science to a great extent, scientific evidences are not many yet, need science, reliable research by obtaining the evidence, and then appraise and affirm the result of the measure of rehabilitation. 1989, World Health Organization (WHO) Draw a conclusion, patient can reach and take care of oneself the apoplexy of brain in the about 60% first year after recovery, 20% have, need help in the complicated activity, 15% need more help, 5% need all help, patient, job of age 30% can resume, work will it be about the end first year after ill among them. Subsequently, the international medical circle strengthens the study on foundation, clinic and recovering of the brain, even American Senate and House of Representatives pass a resolution and are announced by the US President unanimously, last 10 years of the 20th century were " 10 years of the brain " . Wang MaoBin says, under this large background, world recovers in the medical circle and also makes many progress to the research that the apoplexy of brain recovers. If while recovering at hemiplegia, traditional physical therapeutic method (Bobath method, Brunnstrom method, PNF technology, Rood technology, MRP method,etc.) Have become the method of rehabilitation of apoplexy of brain of occupying an leading position during some time, but new research shows, the comprehensive measure of rehabilitation is on the recovery result of hemiplegia, superior to traditional physical therapeutic method. In recovering in speech, speech - -Language pathology and speech therapeutics form the independent speciality, the development studying in function image is applied to the speech - -The mechanism research of the language, especially the research about aphasia makes progress big. In addition, brain apoplexy networking and management of rehabilitation institution begin to take shape abroad, generally speaking, acute issues of patient go on in early days recovering medical treatment in general hospital, a patient gets the comprehensive recovery in early period of convalescence in the specialized rehabilitation institution in subnormal temperature, resume in middle and later periods and launch in community and family, can't enter community or the family for various reasons, enter middle facilities such as the family attended to, hospital in the daytime,etc.. "As to the thing that the latest research in the world develops, China has been following up closely all the time. We can say nerve recover, become neural science and with the fastest developing speed, the intersection of achievement and conspicuous field most one of in the medical science of recovery therapy already. " According to king's luxuriant refined memory, as him while planning to go abroad to receive a training the eighties of last century, do not understand at all yet what this speciality that oneself is engaged in can be done on earth, when getting to foreign countries, the outlook starts big, begin to realize the specialized prospect. " now, in the general recovery medical organization, about hemiplegia patient 80% of apoplexy of brain can resume walking (walking including assisting partly) , 50% about the intersection of hemiplegia and upper limbs can resume the practical function of use " . Recover �� recover " but say on the intersection of brain and extensive function obstacle apoplexy lead to the fact, this is obviously not enough. " The king explains luxuriantly and refinedly, on one hand, lie in the consequence of the apoplexy of brain is not merely hemiplegia and aphasia, also need to solve other possible sequela, on the other hand, even hemiplegia, " too should have one greater breaking away from outdated traditional modes of thought from theory to practice " . Wang MaoBin says, following the research of medical science of the card has already verified, " apoplexy unit " It is the best therapeutic measure behind the apoplexy of brain or organize to manage and treat the mode. "In the developed country, it has already been routine that patients of apoplexy of brain entered ' apoplexy unit ' quickly, in our country, ' apoplexy unit ' still remains to popularize. " So-called " apoplexy unit " ,Recovered the organic whole which personnel such as the teacher, psychologist,etc. make up by nerve internal and external specialist, doctor of rehabilitation department, physical therapist, language, carry on overall drug therapy, function and recover etc. to the patient, in order to improve the prognosis, improve the apoplexy management mode of curative effect. "We have been calling upon all the time, it is not a concept to cure and recover. It treat medical science to curing the stabilities of condition,and the thoughts keys of medical science of recovery therapy to function to resume, the ones that namely let the patient take certainly " The deformity state " And can take care of oneself, and then return to the society. If can not make these, will be meaning then it has not been totally over that medical treatment work. " Wang MaoBin says, it was not the disease, but the function, 3 great functions that WHO defines that recovered and directed against - -Body function, people's individual circulation, social circulation of organ and internal organs level. "All measures of rehabilitation must all centre on and implement the plan of recovering firmly, keep patient's function by every possible means, and make it get maximum recovery, in this sense, ' cure the disease ' is only a therapeutic part. " "But during quite a long time, the society exists and misunderstands the idea recovering, wind very great bend, this become the intersection of China and medical science of recovery therapy grow up thistles and thorns different to pull out at Luis too. " Wang MaoBin says, China, to " recovers " at first Understanding last the fifties such as last century the beginning,because of war, recuperate and resume needing patients wounded or disableds large quantities of, then the disabled soldier hospital who establishes some establishment of army, this nearly equates with the sanatorium. Later, " recovered " With " the physiotherapy is studied " , " health care is studied " Obscure, many hospitals have very big dept. of physical therapy, do some physical recovery to handle and treat with acupuncture and moxibustion, massage,etc.. "Up to now, and some clinicians have not understood the intension of medical science of recovery therapy - -Medical science of recovery therapy is not the continuity of curing the disease, but should begin to get involved since clinical first stage for treatment, and nearly run through the whole clinic and treat the whole journey, even leave hospitalling will still insist on. " Wang MaoBin says. According to his introduction, the experience of Xuanwu Hospital is, the apoplexy patient generally only has steady condition, and still store the function obstacle, the rehabilitation department will get involved in the clinical treatment. "We think tertiary rehabilitation department of general hospital, academic intension its should aim at acute issue and difficulty, serious disease, complicated, and clinic of disease recover medical treatment rarely, it is 21 days on day that our department at present is in hospital on average, it is day is the longest that this is in hospital equally in the clinical department of Xuanwu Hospital. Following recovery medical treatment should be turned into the specialized recovery hospital or recovery centre, and get back to the community or family finally. " The idea lags behind, cause many patients to lose the good opportunity of recovering by mistake. "Some patients are not possessing recovering the hospital or convalescence organ of the medical condition accept ' recover training ' so that form the serious one ' misapply the state ', some form a serious one to be ' waste to spend the state ' wait passively at home, just pass through many hands or places and transfer to the rehabilitation institution with better condition and accept and recover training regularly. This kind of ' half-cooked rice ' has restricted the result of recovering greatly. " For example, " apoplexy " Patient rescue come over,next what is to be done? Certainly recover, but a lot of patients have no place to recover, even can't obtain the correct method of rehabilitation from doctor. Then, the doctor wants to rescue people, what shall do but ignored the person who rescues over, the patient is just difficult to obtain the best recovery result. "This kind of situation is not turned back, will cause the enormous regret. " Wang MaoBin comments on one. And as far as reporter know, the foreign apoplexy patient has spent acute one, generally conduct systematic recovery medical treatment on will turn into and recover the medical organization quickly. Chronic disease the intersection of era and the intersection of Beijing and senile disease clinical geriatric hospital recover JinPing Zhang, Deputy Director of research institute, tell " Liaowang " Newsweek: "It is the era of a chronic disease now, this means, a large number of diseases can only all depend on the means treatment of medical science of recovery therapy, people pay close attention to how to improve life quality further naturally. " She explains, because of the progress of development and medical science of social economy, wounded, patient's mortality of disease obviously drops, and the patient who leaves sequela and function obstacle increases gradually, meanwhile, the process of aging population accelerates making the morbidity of senile disease and chronic disease rise sharply too, comply with this trend, people's requirements for medical care are not limited to the level of the first aid level again, then pay attention to the recovery of function even more. "This reflects renewal of this concept to medical science, namely no longer just cure the disease simply, but should safeguard the health, emphasize health care - -Prevent - -Treat - -Medical developing direction of four in one of recovering. " At this moment, " professional of medical science of recovery therapy could adapt to this kind of transition, namely pass standardized rehabilitation, seem very important to help the patient to resume the function, return to the society " ,Zhang JinPing says. Wang MaoBin says, difficult to carry on the clinical one at random, research of contrasting blind law, in addition, consequence appraise inconsistency of method, of different medical methods of the recovery validity very much difficult to judge accurately. The present internatioanlly agreed method is that the expert depends on following the evidence of medical science of the card, combine its experience, make a kind of guide standardized healing solution. "This is that one attempts to control medical quality, reduce the medical cost, shorten hospital stays, improve the method of the medical result, also our diligent direction. As far as I know, the standardization of recovering is therapeutic that the brainstorm subject of State Science and Technology Commission ' eleven five ' is locked ' apoplexy of brain ', also exactly hope to solve this problem. " Wang MaoBin says, the brain apoplexy " standardization " known at present In the method of rehabilitation, besides setting up the method on the basis of neuro-physiology theory, the comprehensive neural method of rehabilitation set up on the basis of recombinating the theory in plasticity and brain function of the brain and set up on the clinical foundation has already been shaped gradually. "Recovery theory and method of the apoplexy of brain may be in the new break-through. " " our next direction, is to let the tertiary network of medical treatment of recovering operate better at the next station. The present key is, the patient needs to carry on subsequent rehabilitation in rehabilitation institution, community after the general hospital recovers the department leaves hospital, the construction that and rehabilitation institution, community recover will be strengthened. " Wang MaoBin says. In his view, as to patient, apoplexy of brain, besides rescuing in time, recover issue can launch appropriate prompt the intersection of recovery and standardization treat too very important. "Until general hospital recover treatment of department general patient, apoplexy of brain, need to leave hospital, and the following very difficult to and then recover and train to it of general hospital, this depends on rehabilitation institution's and community's contributing, otherwise, the function that patients actually could resume is difficult to resume, or function that resume in early days might lose again, this very difficult to realize, raise a patient, move, participate in competence, improve and survive the goal of quality. " MaoBin Wang say serious the intersection of brain and apoplexy or the intersection of brain injury and patient, might it takes several to be even recovery nature training all one's life in year for example, recover the doctor needs to make the long-term recovery plan, and carry on the evaluation of the function and short-term plan of recovering of modification at different stages, also guide patient and his relative, the validity of so as to ensure to recover and deal withing in person. "This not merely needs to carry on the system, deep research in large hospital and scientific research institution, and need to do the work of the medical net of recovering well tertiarily. None of intact networks, can not do the work that the function resumes behind the apoplexy of brain well. " He thinks, most permanent deformity person's recovery needs a system, orderly, continuous and long-term recovery course, rehabilitation institution and community recover, have bright prospects, for example the intersection of hemiplegia and patient carry on limb take exercises recovery nature training for the function and attend to behind the apoplexy to brain, the intersection of aphasia and patient carry on the intersection of language and function recover, train behind the apoplexy to brain, swallow behind the apoplexy brain patient, obstacle of function, ingest - -Swallow the function to train etc., meanwhile, can also do the work of attending to the health education with relatives in the patient's life well, help the patient to establish confidence, communicate with the external world voluntarily. "It has already launched for decades that the community recovered in the world, WHO has already put out the society too Guide and manual that the district recovers. Especially in the western countries, according to different stages of disease, the hospitals at all levels pay rehabilitation and segment, have formed the large comprehensive hospital - -Recover in the hospital, recovery centre - -The network that the community recovers? Qu take on ���� Xuan night �� Pao fear Qu last fear ���ȫ��� altogether to kill Xuan thank Feng Mi of cheek 1 Hui for not gretable all bungling kill is the Paies lows detailed for the ��� s after lasting villous themeda to Xi �� bridle �� pupa after criticizing sb's faults frankly to cloud skirt � regretable all ing idly The careful �'s picture Yi �� steps and blows milk Qiong ��! Is Fu ��'s tablet held before the breast by officials when received in audience by the emperor of castor idle? All sorts of efforts, in order to make the apoplexy patient after leaving hospital, it is unlikely to become the kite breaking, but can continue getting prompt, effective recovery medical care. " the working, in place, recovering medical treatment set out on a journey really right away in this respect " . Wang MaoBin says. Gentle / the intersection of " the Liaowang " and one, reporter of Newsweek, fire slowly

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